Krista Shabtaie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8981-123 Issued in WI

Practice address

933 N Mayfair Rd Ste 101
Milwaukee, WI 53226-3432

Phone

(413) 478-8760

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Krista Meyerhoff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Krista Shabtaie LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1578178315
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1013482587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 W ROCHELLE AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092724",
            "telephone_number": "413-478-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N MAYFAIR RD STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263432",
            "telephone_number": "413-478-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 N Grandview Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881600",
            "country_code": "US",
            "telephone_number": "262-251-1112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W156N8327 Pilgrim Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530513776",
            "country_code": "US",
            "telephone_number": "262-251-1112 x17",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABTAIE",
        "first_name": "KRISTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8981-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "MEYERHOFF",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Lester Seymour, PHD
• Cherie Sgambati, D.O.
• Elizabeth Sgroi
• Saman Shabani
• Shabbar Sajjad MD SC
• Umar Shad, MD
• Audrey K. Shadd, M.D.
• Hannah Elizabeth Shady
• Amanda Marie Shafer, APNP
• Jeanette Shaffer

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.